The association of insufficient gestational weight gain in women with gestational diabetes mellitus with adverse infant outcomes
A case-control study
Bibliographic Data
| ID | 22088592 |
|---|---|
| Authors | Dabin Huang (0000-0003-1533-9413, Guangzhou Medical University), Mulin Liang (Third Affiliated Hospital of Southern Medical University), Bin Xu (0000-0002-0947-2237, Chenzhou First People's Hospital), Shan Chen (0000-0003-2138-4851, Guangzhou Medical University), Yan Xiao (0009-0002-1119-937X, Guangzhou Medical University), Hui Liu (0000-0001-5519-148X, Guangzhou Medical University), Dan Yin (0000-0002-0617-5253, Guangdong Medical College), Jun Yang (0000-0001-6740-4358, Beijing Normal University), Ling Wang (0000-0002-5015-7706, Guangzhou Medical University), PianPian Pan (Guangzhou Medical University), Yihui Yang (0009-0002-0657-485X, Guangzhou Medical University), Wei Zhou (0000-0002-0849-1524, Third Affiliated Hospital of Southern Medical University, corresponding author), Juncao Chen (0000-0003-0579-1908, Guangzhou Medical University, corresponding author) |
| Year | 2023 |
| Volume | 11 |
| Pages | 1054626-1054626 |
| Publication date | 2023-02-23 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2023.1054626 |
| PMID | 36908424 |
| OpenAlex | W4321596048 |
| Language | EN |
| Citations received | 1 |
| References cited | 34 |
Background To investigate the association between insufficient maternal gestational weight gain (GWG) during dietary treatment, and neonatal complications of small-for-gestational-age (SGA) infants born to mothers with Gestational diabetes mellitus (GDM). Methods A retrospective case-control study was conducted, involving 1,651 infants born to mothers with GDM. The prevalence of a perinatal outcome and maternal GWG were compared among SGA, adequate- (AGA), and large-for-gestational-age (LGA); association with birth weight and GWG was identified using Pearson's correlation analysis; binary logistic regression was performed to determine the odds ratio (OR) associated with SGA. Results In total, 343 SGA, 1025 AGA, and 283 LGA infants met inclusion criteria. The frequency of SGA infants who were siblings (41.7 vs. 4.3 vs. 1.9%) and composite of complications (19.2 vs. 12.0 vs. 11.7%) were higher in SGA infants than in those in AGA or LGA infants group (both P 0.05). The risk of SGA (25.7 vs. 19.1 vs. 14.2%) and FGR (15.3 vs. 10.9 vs. 7.8%) was higher in GWG below guidelines group than those in GWG above and within guidelines group, the risk of low Apgar score (6.4 vs. 3.0 vs. 2.8%) was higher in GWG above guidelines group than that in GWG below and within guidelines group ( P < 0.05). Conclusion Our findings demonstrated that GWG above and below guidelines, compared with GWG within guidelines, had a higher risk of adverse infant outcomes. Our findings also suggested that GWG below guidelines did not increase the risk for SGA, though SGA infants had more adverse outcomes among neonates born to mothers with GDM
Birth weight · Body mass index · Body weight · Gestation · Gestational age · Gestational diabetes · Logistic regression · Obstetrics · Odds ratio · Preeclampsia · Pregnancy · Small for gestational age · Weight gain · Bariatric Surgery and Outcomes · Gestational Diabetes Research and Management · Medicine · Pregnancy and preeclampsia studies · Internal Medicine · Pediatrics
| Citations per year | 0.33 |
|---|---|
| Citation span | 2023 - 2023 (1) |
| Highly cited | No |